2. Biographical information
Patient name: saleh
Age: 22 yrs
C.C : check my teeth
Dental Hx: simple
restorations.
Medical Hx: fit and well.

3. Extra-oral Examination
Frontal view
-Face is asymmetrical
-Lips are competent
- Lower face height is
normal(the distance form the eyebrow to
base of the nose are equal to the distance from
base of the nose to lower most of the chin
).

4. Extra-oral examination
smile assessment
- Acceptable smile
aesthetic.
- Smile show the upper
teeth to canine
-The smile show upper
incisor with only
interproximal gingiva
visible.

5. Extra-oral examination
profile assessment
Skeletal pattern is class II(convex).

6. intra-oral examination
frontal view
- Good oral hygiene &
periodontal condition .
No horizontal cross bite

7. intra-oral examination
right & left view
left:
-class I molar relationship
-class I canine relationship
- Upright maxillary central
incisor
Right:
-class I canine relationship

8. intra-oral examination
upper occlusal view
-No missing teeth .
- Slight rotation of the
lateral incisor.
- No spacing.

9. Entra-oral examination
lower occlusal view
-Amalgam restoration on #
36
-composit restoration and
tooth preparation for
crown on #46
-No spacing or crowding .
-No missing teeth.

10. Model analysis
frontal view
-no cross bite.
-Upper and lower mid line
coincident .
-2mm overbite .

11. Model analysis
left & right occlusion
-left:
-class I molar relationship
-class I canine relationship
- Upright maxillary central incisor
Right:
-class I canine relationship
-2mm over jet

12. Model analysis
lower & upper occlusal view
-U shape arch form.
- No spacing or crowding
Available space – required
space 0
-U shape arch form
-No spacing or crowding
-rotation of the lateral incisor
-Available space – required
space 0

13. Bolton ratio:
Overall Bolton ratio= 88 / 96 = 91.66 % ( 0.4 mm 
mandibular excess )
Anterior Bolton ratio= 37 / 48 = 79.08% ( no excess 

14. Radiographic examination
panoramic view

15. Measurement
Normal
Patient
Interpretation
Skeletal relationship
SNA
81 +- 3
80
Normal
Radiographic examination
SNB
78+_ 3
75
Normal
lateral cephalometric radiograph
ANB
3+_2
5
Normal
Vertical relationship
SN-MxPI
8+_3
14
Clockwise rotation
(posterior
inclination of max.)
MMPA
27+_4
24
Normal
Facial
proportion
55+_2
53%
Normal
Denatl relationship
Ulnc to MxPL
109+_6
119
Proclination of
upper incisor
Llnc to MNPl
93+_6
102
Proclination of
lower incisor
Llnc to A-pog
+1+_ 2mm
6mm
Protrosion of
lower incisor
U1-L1
135+_10
1114
Proclination of
upper & lower
insisor
Soft tissue relashinship
Naso-labial
angle
100+_10
97
normal
Upper lip - EL
-2 to -4
-4
normal
Lower lip - EL
0 to-2
-1
normal

16. Diagnostic summary
Overall
diagnostic
summary

17. Problems list
-Skeletal:
- Normal skeletal relationship
-Dental:
-proclination of upper and lower incisor .
-slight rotation of the upper lateral incisor .
-Soft tissue:
No soft tissue problem.

18. TREATMENT PLAN
 OHI.
 Operative Tx.
 Prstho Tx.
 Ortho Tx.

19. Thank you